Individual
AMY L HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 YORK AVE, NEW YORK, NY 10065-4805
(646) 962-8462
Mailing address
1300 YORK AVE, NEW YORK, NY 10065-4805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01090322A
IN
208600000X
Surgery Physician
1770945081
IL
208600000X
Surgery Physician
Primary
315996
NY
Other
Enumeration date
03/25/2016
Last updated
07/12/2023
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